Treatment of hyper-granulated limb wounds in horses

This study was performed to investigate the different methods of treating hyper granulation tissue on experimentally induced wounds in equine limbs. Wounds were induced by removal of a skin patch and subcutaneous tissue for about 5-7 cm width and 6-8 cm in length from the dorsal and lateral aspect of the fore and hind limbs below the carpal and tarsal joints. The wounds were left open without treatment and the animals were trained 2-2.5 hours every day for about 3-5 weeks until hyper granulation tissue was developed. The schedule for the treatment of hyper granulation was divided into five groups each contained eight wounds of hyper granulation tissue; each main group was divided into two subgroups. The subgroups of first, second, third, fourth and fifth groups were treated by the following schedules: bandage alone; copper sulphate ointment 10%; silver nitrate ointment 2%; red mercury ointment 11%; and laser therapy (at a total dose of 9.72 Joule / cm 2 ) respectively. While the second subgroups were treated by surgical resection of the hyper granulation tissue, followed by the same treatments applied on the first subgroup. The bandage for all experimental groups was changed every 48 hours until healing was occurred. The clinical and histological observation of the first group revealed that the healing take long period comparing with other groups. The mean of wound healing were 65 days in non surgical removal of hyper granulation tissue subgroup, while 57 days in surgical removed of hyper granulation tissue subgroup. The results of the second, third, fourth groups revealed that the caustic material especially red mercury has a role in healing processes through depressing the hyper granulation tissue. The mean of wound healing of the second group was 42.25 days in non surgical removal of hyper granulation tissue subgroup while 37.25 days in surgically removed hyper granulation tissue subgroup. In the third group the mean of wound healing was 45.75 days in non surgical removal of hyper granulation tissue subgroup while 44.75 days in surgically removed hyper granulation tissue subgroup. While in the fourth group the mean of wound healing was 39 days in non surgical removal of hyper granulation tissue subgroup while 36 days in surgically removed hyper granulation tissue subgroup. In the fifth group the clinical and histological observation revealed that the using of laser lead to reduce the period for wound healing significantly comparing with other groups. The mean of wound healing was 25 days in non surgical removal of hyper granulation tissue subgroup while 20 days in surgically removed hyper granulation tissue subgroup, so that the laser was the best in this study and the using of surgical removal is better than of non surgical removal.